HomeMy WebLinkAboutPermit Building 1991-4-29
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AUTHORIZATION FORM
.4. PERMIT II
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FEES DUE:
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CALL FOR INSPECTIONS (SEE BACK OF FORM FOR INSTRUCTIONS) 687-4065
SEPTIC permits are good for one year. ALL other permits expire after 180 days unless Inspections are current. ..
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VIOLATIONS
SBTBACKS AND 01lIBR __.............. OP APPROV ALMUST DB STRICIL Y OBSERVPD. VIOLATION CAN RESULT IN REVOCATION OFnflS PERMIT.
CITATIONS MAYBE ISSUED UNDER TIm PROVISIONS OP LANBCOUNl'Y'S INFRAcnON ORDINANCE AND/OR 01lIBR RB.MEDIES AILOWED BYLAW.
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A MINIMUM OF AT LEAST 24 HOURS ADVANCE NOTICE MUST BE GIVEN FOR INSPEcrION REQUESTS
Have the following information ready when you call: 687-4065
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Pennit number - Job address - Type of inspection required When it will be ready
Your name and phone number _ - _ Any special dir~tions to the site
PUBLIC OmClAL RIGHT TO TRESPASS ON PRIVATE PROPERTY ORB US.OSO
pOWER TO PNrER UPON LAND. TIm COMMISSION, AND ANY OF ITS MEMBERS, OFPICI!RS AND EMPLOYES, IN1HBPERPORMANCE OF nimRFUNcnONS, MAY
ENTER UPON ANY LAND AND MAKBBXAMINATIONS AND SURVEYS AND PLACE AND MAINTAIN nm NECESSARY MONUMENTS AND MARKERS nmREON. _
REQUIRED INSPECTIONS
FOUNDATION INSPECTION: To be made after excavations for footings are complete and any required reinforcing steel is in place.
UNDERGROUND PIPING INSPECTION: To be made after all underground piping has been installed, prior to any backfIll.
CONCRETE'SLAB' OR UNDER.FLOOR INSPECTION: To be made after all iiI,slab or und'er.floc~ building service equipmen~ condui~ piping
accessories and other ancillary equipment items are in place but before any concrete is placed QT floor sheathing installed. including the subfloor.
ROUGH MECHANICAL INSPECTION: To be made after all ducting and gas piping has been installed and prior to being covered,
ROUGH PLUMBING INSPECTION: To be made after all plumbing rough.in is in place, prior to being covered. '
FRAMING INSPECTION: To be made after the all framing, fIre blocking. bracing and roof are in place and all pipes. chimneys and vents are complete
and the'rough electrical. plumbing, and mechanical inspections have been made and approved. .
INSULATION INSPECTION: To be made after all insulation and vapor barriers are in place, prior to covering.
LATH AND/OR GYPSUM BOARD INSPECTION: To be made after all lathing and gypsum board, interior and exterior, is in place but before any
plastering is applied or before gypsum board joints and fasteners are taped and fmished.
ADDITIONAL INSPECTIONS MAY BE REQuiRED. such as but not limited to; ,
BLOCK WALL: To be made after reinforcing is in place, but before any grout is poured. The inspection is required for each bond beam pour. There
will be no approval until the plumbing and electrical inspections have been made and approved.
FINAL MECHANICAL INSPECTION: To be made just prior to the structure or remodeled area being occupied and piior to operating any i:quipmenL
FINAL PLUMBING INSPECTION: To be made just prior to the building. structure or remodeled area being occupied.
FINAL BUILDING INSPECTION: To be made after finish grading and the building. structure or remodeled area is completed and ready for oecupancy.
MOBILEjMANUFACfURED HOMES: An inspection is required after the mobile home is connected to an approved sewer or septic
system, prior to covering sewer or water lines, for setback requirements. blocking. tiedowns and plumbing connections.
Footings and piers to comply with State fOWldation requirements for mobile homes or as recommended by the manufacturer.
Minimum fInished floor elevation shall be certified when required by Floodplain Management
,Tiedowns, if required, shall be installed and ready for inspection within 30 days after occupancy. Tiedowns shall be installed per enclosure,
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APPROVAL REQUIRED _, . .
No work shall be done on any part of the building or structure beyond the point indicated in each successive inspection without nrst obtaining the
approval of the building official. Such approval shall be given only after an inspection shall have been made of each successive step in the construction
as indicated by each of the inspections required
APPROVED PLANS MUST BE ON TIlE JOB SITE AT ALL TIMES DURJNG WORKJNG HOURS.
TIllS PERMIT WILL EXPIRE IF WORK DOES NOT BEGIN WITHIN 180 DAYS. QR IF WORK IS STOPPED OR ABAHuuH~D FOR.MORETIIAN 180,DA YS,
SUSPENSION OR REVOCATION MAY OCCUR IF TIllS PERMIT WAS ISSUED ON TIlE BASiS OF INCOMPl.ETE OR ERRONEOUS INFORMATION,
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ANYONE PROCEEDING PAST THE POINT OF REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK.
Your signatUre on tl\e front of this form verifIes the following: I HAVE CAREFULLY EXAMINED THIS COMPLETED APPLICATION. and do
hereby certify that all information hereon is true and correct, and that I have a legal interest in the t....t'...~.) as owner of record or authorized agent I
further certify that any and all work performed shall be done in accordance with the Ordinances of Lane County and the laws of the State of Oregon per-
taining to the work described herein. I further certify that if I am not the owner of the y~~t'.....j. my registration with the Builders Board is in full force
and effect as required by ORS 701.055, and that if exempt the basis for the exemption is noted hereon, and that only subcontractors and employees who
are in compliance with ORS 701.005 will be used on the job.
SUBSURFACE & ALTERNATIVE SEW AGE DISPOSAL SYSTEMS:
When subsurface construction is complete. the permit holder shall notify the County Land Management Division by submitting the installation record
form. An inspection will be made by a qualified sanitarian. If construction complies with all rules a certificate of completion will be issued to the permit
holder. If construction does not comply with roles, the pennit holder will be notified, and all corrections shall be made before a certificate of completion
will be issued. Failur~ to m~et satisfactory completion within the allotted time conStitUtes a violation of ORS 454.605 to 454.745 and this rule.
SUBSURFACE SEWAGE DISPOSAL SETBACKS SEPTIC TANK
From: Interior property lines 10'
Edge ofroad right-of.way 10'
Building foundation 5'
Wells or other water sources 50'
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OWNER OF PROPERTY (It nol ..me.. .bow.)
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M.2~ PERMIT TO:
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SEPTIC INSTALLED
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c::J No
Waler District
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For Mobile Home
Placement Only
Brand
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Size
No. of Tip-outs
No. of Bedrme
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Land Management Dlv. staff can
not be held responsible for
evaluations or recommendations
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W: 5 LANE COUNTY"DEPT ENV M~T REpEJpi. I 1?0391. DATE 04?421
APPLICANT PARKER, ROBERTA ADDR 3150 GAME"AI'\M I~D., ~PRIN(xFlELD, O~EL,O
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W: 5 LANE COUNTY DEPT ENV MG'I' RECEIPT ~ 1?~391 DATI~ 04~49'
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